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Wed, 10 Apr 2002 16:41:00 +1000

QED - Quod erat demonstrandum = Which was the thing to be proved.

Used at the conclusion of a formal proof.  In other words, in this case,
your statement proved my original assertion.

John
 ----------
From: James A. Johnson
To: 'trauma-list@trauma.org'
Subject: RE: paralytics vs. surgical cricothorotomy in the field
Date: Tuesday, 9 April 2002 9:08

I'm in America and have never heard of QED. EMS-Ts. here we have EMT- basic,
EMT- advanced ( which depending on standing orders could put them at the
paramedic level) and of course EMT-P. I also put this question to three
anestisologist two preferred RSI and one preferred surgical. Again I'm not
saying one is better than another, I just know what I'm comfortable doing
and have done and was interested in what others had to say. Must say it got
several off the political talk!
Jim J

> -----Original Message-----
> From:	Holmes John [SMTP:Jholmes@mater.org.au]
> Sent:	Sunday, April 07, 2002 4:26 PM
> To:	Jeremy Hawk
> Cc:	'trauma-list@trauma.org'
> Subject:	RE: paralytics vs. surgical cricothorotomy in the field
>
> ...........To me, the question would be: Why would you RSI this patient? A
> surgical cric would be faster and achieves the same goal - a secured
> airway.
> I might also think about a nasal tube if allowed and no absolute
> contraindications (with OLMC if there are any questions). I feel that
> there
> is a place for RSI in the field, it's just that it's use must be carefully
> considered, and appropriately place in the
> realm of airway tools. Personally, I'd rather exhaust other options before
> going to RSI...........
>
> This statement proves my point. QED.  EMS-Ts are not adequately qualified
> in
> this field.  To state that an invasive surgical procedure is preferable to
> RSI is judgementally extremely flawed and very very scary.  I challenge
> you
> to find one airways trained physician to agree with you.
>
> John L Holmes
> Director Emergency Medicine
> Mater Hospitals,  Brisbane.
>
>
>
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paralytics vs. surgical cricothorotomy in the field